Wang Wenhao, Huang Yixue, Zhang Linlin, Yang Huilin
Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Front Surg. 2022 Jul 15;9:922139. doi: 10.3389/fsurg.2022.922139. eCollection 2022.
Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic metabolic condition characterized by new bone formation mainly at the anterolateral spine. Surgery such as screw fixation is commonly used for DISH patients who also suffer from vertebral fractures. In this case report, we share a DISH case with lumbar vertebral fracture and osteoporosis who underwent percutaneous kyphoplasty plus braces and medication. Percutaneous kyphoplasty, considered as minimally invasive surgery, may be another treatment option with the advantages of less trauma and faster recovery. The clinical information and radiological findings are described and treatments for DISH with vertebral fractures are then briefly reviewed.
弥漫性特发性骨肥厚(DISH)是一种全身性代谢疾病,其特征是主要在前外侧脊柱出现新骨形成。对于同时患有椎体骨折的DISH患者,通常采用螺钉固定等手术治疗。在本病例报告中,我们分享了一例患有腰椎骨折和骨质疏松症的DISH患者,该患者接受了经皮椎体后凸成形术,同时使用了支具和药物治疗。经皮椎体后凸成形术被认为是一种微创手术,可能是另一种治疗选择,具有创伤小、恢复快的优点。本文描述了该病例的临床信息和影像学检查结果,并简要回顾了DISH合并椎体骨折的治疗方法。